Exclusion of patients from quality measurement of diabetes care in the UK pay-for-performance programme

Diabetic Medicine

Volumn 28, Issue 5, 2011, Pages 525-531

  Dalton, A R H ^a,b   Alshamsan, R ^a   Majeed, A ^a   Millett, C ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b NHS Ealing ^*  (United Kingdom)

Author keywords

Diabetes; Exclusion; Financial incentives; Pay for performance; Primary care

Indexed keywords

CHOLESTEROL; HEMOGLOBIN A1C;

ADULT; AGED; ARTICLE; BLOOD PRESSURE MEASUREMENT; COMORBIDITY; DIABETES MELLITUS; DISEASE DURATION; ELECTRONIC MEDICAL RECORD; FEMALE; GENERAL PRACTICE; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; UNITED KINGDOM;

ADOLESCENT; ADULT; AGED; CROSS-SECTIONAL STUDIES; DIABETES MELLITUS; FEMALE; HEALTHCARE DISPARITIES; HEMOGLOBIN A, GLYCOSYLATED; HUMANS; LONDON; MALE; MIDDLE AGED; QUALITY INDICATORS, HEALTH CARE; REIMBURSEMENT, INCENTIVE; YOUNG ADULT;

EID: 79954546807     PISSN: 07423071     EISSN: 14645491     Source Type: Journal    
DOI: 10.1111/j.1464-5491.2011.03251.x     Document Type: Article

References (26)

1. Epstein AM, Lee TH, Hamel MB. Paying physicians for high-quality care. N Engl J Med 2004; 350: 406-410.
2. Epstein AM. Pay for performance at the tipping point. N Engl J Med 2007; 356: 515-517.
3. Chien AT, Chin MH, Davis AM, Casalino LP. Pay for performance, public reporting, and racial disparities in health care: how are programmes being designed? Med Care Res Rev 2007; 64: 283S-304S.
4. Roland M. Linking physicians' pay to the quality of care-a major experiment in the UK. N Engl J Med 2004; 351: 1448-1454.
5. NHS Employers and the General Practitioners Committee. Quality and Outcomes Framework Guidance for General Medical Services Contract 2009/2010. Available at Last assessed 12 June 2009.
6. Millett C, Gray J, Saxena S, Netuveli G, Khunti K, Majeed A. Ethnic disparities in diabetes management and pay-for-performance in the UK: The Wandsworth Prospective Diabetes Study. PLoS Med 2007; 4: e191.
7. Doran T, Fullwood C, Reeves D, Gravelle H, Roland M. Exclusion of patients from pay-for-performance targets by English physicians. N Engl J Med 2008; 359: 274-284.
8. Doran T, Fullwood C, Gravelle H, Reeves D, Kontopantelis E, Hiroeh U et al. Pay-for-performance programmes in family practices in the UK. N Engl J Med 2006; 355: 375-384.
9. Simpson CR, Hannaford PC, McGovern M, Taylor MW, Green PN, Lefevre K et al. Are different groups of patients with stroke more likely to be excluded from the new UK general medical services contract? A cross-sectional retrospective analysis of a large primary care population. BMC Fam Pract 2007; 8: 56.
10. Health and Social Care Information Centre. The Quality and Outcomes Framework Exception Reporting 2008/2009. Available at Last accessed 12 June 2009.
11. Department of Health. Data and Business Rules-Diabetes Mellitus Indicator Set. Available at Last accessed 30 May 2009.
12. Strong M, Maheswaran R, Pearson T. A comparison of methods for calculating general practice level socioeconomic deprivation. Int J Health Geogr 2006; 5: 29.
13. Akaike H. A new look at the statistical model indentification. IEEE Trans Automat Contr 1974; 19: 716-723.
14. Pregibon D Logistic regression diagnostics. Ann Stat 1981; 9: 705-724.
15. Baker R. Characteristics of practices, general practitioners and patients related to levels of patients' satisfaction with consultations. Br J Gen Pract 1996; 46: 601.
16. Östgren CJ, Lindblad U, Ranstam J, Melander A, Råstam L. Glycaemic control, disease duration and cell function in patients with Type2 diabetes in a Swedish community. Skaraborg Hypertension and Diabetes Project. Diabet Med 2002; 19: 125-129.
17. Adler AI, Stevens RJ, Manley SE, Bilous RW, Cull CA, Holman RR. Development and progression of nephropathy in type2 diabetes: the UK Prospective Diabetes Study (UKPDS64). Kidney Int 2003; 63: 225-232.
18. Sigfrid LA, Turner C, Crook D, Ray S. Using the UK primary care Quality and Outcomes Framework to audit health care equity: preliminary data on diabetes management. J Public Health (Oxf) 2006; 28: 221-225.
19. Goyder EC, McNally PG, Botha JL. Inequalities in access to diabetes care: evidence from a historical cohort study. Qual Health Care 2000; 9: 85-89.
20. Werner RM, Asch DA, Polsky D. Racial profiling: the unintended consequences of coronary artery bypass graft report cards. Circulation 2005; 111: 1257-1263.
21. Gray J, Millett C, Saxena S, Netuveli G, Khunti K, Majeed A. Ethnicity and quality of diabetes care in a health system with universal coverage: population-based cross-sectional survey in primary care. J Gen Intern Med 2007; 22: 1317-1320.
22. van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med 2000; 50: 813-828.
23. Persell SD, Dolan NC, Friesema EM, Thompson JA, Kaiser D, Baker DW. Frequency of inappropriate medical exceptions to quality measures. Ann Intern Med 2010; 152: 225-231.
24. Gravelle H, Sutton M, Ma A Doctor Behaviour Under a Pay for Performance Contract: Evidence from the Quality and Outcomes Framework. CHE Research Paper 28. York, England: Centre for Health Economics, 2010.
25. Bainbridge KE, Cowie CC, Rust KF, Fradkin JE. Mitigating case mix factors by choice of glycemic control performance measure threshold. Diabetes Care 2008; 31: 1754-1760.
26. Reeves D, Doran T, Valderas JM, Kontopantelis E, Trueman P, Sutton M et al. How to identify when a performance indicator has run its course. Br Med J 2010; 340: c1717.